Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.20 / $1,649.68 / $14,482.00	Facility		$816.20	$1,649.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $816.20 / $2,636.66	Professional		$768.60	$816.20	$2,636.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,467.00 / $11,448.40	Facility		$5,169.00	$7,467.00	$11,448.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.42 / $2,068.08 / $5,530.37	Professional		$763.42	$2,068.08	$5,530.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,085.19 / $2,436.71 / $3,930.33	Facility		$2,085.19	$2,436.71	$3,930.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.46 / $2,515.03 / $3,324.34	Professional		$1,092.46	$2,515.03	$3,324.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.33 / $1,078.78 / $3,295.26	Facility		$812.33	$1,078.78	$3,295.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $816.20 / $3,295.26 / $8,384.00	Facility		$816.20	$3,295.26	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.33 / $2,119.89 / $5,136.84	Professional		$902.33	$2,119.89	$5,136.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $668.22 / $1,748.93	Professional		$63.30	$668.22	$1,748.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $812.33 / $1,179.29 / $3,295.26	Facility		$812.33	$1,179.29	$3,295.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,569.75 / $2,415.00 / $3,093.73	Professional		$1,569.75	$2,415.00	$3,093.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,590.08 / $6,590.08 / $6,590.08	Facility		$6,590.08	$6,590.08	$6,590.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,120.77 / $3,854.35 / $6,059.00	Professional		$1,120.77	$3,854.35	$6,059.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,142.84 / $4,142.84 / $4,142.84	Professional		$4,142.84	$4,142.84	$4,142.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,785.36 / $4,755.60 / $4,755.60	Professional		$2,785.36	$4,755.60	$4,755.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $844.71 / $2,319.19 / $4,269.39	Professional		$844.71	$2,319.19	$4,269.39